| NPI | 1851018949 |
|---|---|
| Former Name | MELISSA TYSON ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001078677) |
| 363L00000X Nurse Practitioner (Licence: VA 0024185237) | |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |